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Library of Congress Cataloging-in-Publication Data
Atlas of clinical emergency medicine / [lead editor] Scott C. Sherman ; editors, Stephen John Cico, Erik
Nordquist, Christopher Ross, Ernest Wang. — 1st edition.
p. ; cm.
ISBN 978-1-4511-8882-0
I. Sherman, Scott C., editor. II. Cico, Stephen John, editor. III. Nordquist, Erik, editor. IV. Ross,
Christopher (Professor of emergency medicine), editor. V. Wang, Ernest, editor.
[DNLM: 1. Emergencies—Atlases. 2. Emergency Treatment—Atlases. 3. Wounds and Injuries—diagnosis
—Atlases. WB 17]
RC86.7
616.02′50222—dc23
2015021071
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To my father, for being an example of courage, compassion, and perseverance.
—SCOTT C. SHERMAN, MD
I would like to thank my spouse, Dr. Lane Coffee, for unwavering enthusiasm for
and confidence in me during this project and my academic career. I need to
thank my parents, Carol (Provci) and Stephen Cico, for their support and
encouragement throughout my life and education. I wish to thank my
grandparents, Libby (Havlicek) and John Provci, and Margaret (Golobich) and
Steve Cico, and especially my great-grandmother “Baba” Anna Nosek Havlicek,
who imparted this wisdom on four generations of our family—“People can take
everything away from you, but they can never take away your education!”
—STEPHENJOHN CICO, MD, MEd, FAAEM, FAAP
To my wife, Jazmir, and children, Rocio, Ambrose, and Cleo, for their enduring
love and forbearance of too many fatherless nights and weekends. To my parents
for a lifetime of support.
—ERIK NORDQUIST, MD
Most importantly, I would like to thank the patients who have allowed
photographs of themselves to educate physicians. I also wanted to thank the
department for your interest in providing me great photography opportunities.
And my family that has stood by me all these years and shown me what is really
important in life.
—CHRISTOPHER ROSS, MD, FRCPC, FACEP, FAAEM
I would like to gratefully thank my wife Daria, my children—Natalia, Sophia,
Julia, and Amelia, and my colleagues for their support in allowing me the time
to bring this atlas to life. I also want to thank the medical students and residents
that I have had the privilege to teach over the years. You have all made me a
better person and physician with your inspiration and collaboration.
—ERNEST WANG, MD, FACEP
FOREWORD
One of the greatest pleasures in medicine is the art of diagnosing
patients’ conditions and translating that into an appropriate
therapeutic plan. Over the years, the evolution of medicine has
increased pressure on practitioners to see more patients in shorter
time frames to keep up with the economic demands of modern
medicine. This evolution has threatened to turn the art of medicine
into the factory of medicine. The Atlas of Clinical Emergency
Medicine is a tool that practitioners can use to “turn back the clock”
during patient encounters. The Atlas enhances our ability to
instantly recognize patients’ conditions through the wide array of
images. In addition, the Atlas provides us with specific and concise
diagnostic and treatment plans. The editorial team consists of
outstanding practitioners and educators who care for thousands of
patients each year. They have assembled an impressive array of
images that enriches our practice of medicine so that we can regain
the art of medicine that we yearn for on a daily basis.
Jeffrey J. Schaider, MD
Professor, Department of Emergency Medicine
Rush Medical College
Chairman, Department of Emergency Medicine
Cook County Health & Hospitals System
Chicago, Illinois
PREFACE
It was 2001 when I began taking photographs in the medical
setting. I was in my emergency medicine residency, rotating at a
community hospital on the northwest side of Chicago. I bought a
disposable “cardboard box” camera on the way into my shift one
day. I had no formal training, just an interest in documenting for the
purpose of education. I still remember some of the cases from that
month—nail gun injury, scapholunate dissociation. I enjoyed it and
started giving lectures the following year to my fellow residents
with the pictures. It seemed to make it more real to the audience. I
graduated to a Canon Elph because it easily fit in the pocket and I
dutifully carried it with me on every shift for years to come
building a library of images that mostly sat unused on the hard
drive of my office computer.
I have always subscribed to the statement that “a picture is worth
a thousand words.” It is the way I have best learned throughout my
schooling. Seeing a physical finding, radiographic image, or a
disease process made it stick in my mind much better than reading
pages of voluminous text. And today, in the clinical setting, I prefer
to hear a student presentation at the bedside. Not just because it
involves the patient and allows for bedside teaching but because I
have a visual of the patient and the words take on more meaning. I
may not be alone in this belief. Research suggests that
approximately 70% of the population uses visual/spatial thinking
either predominantly or in combination with words.
In the Atlas of Clinical Emergency Medicine, you will find 342
topics laid out in the same, straightforward, organizational format.
Immediately under the topic title, the reader will find a relevant
